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Northeastern Province
Membership  Application

 

Purpose for Application

Are you seeking covering or affiliation?

__Covering __Affiliation __ (Please indicate with an X)

 

Member Personal Information Contact Information

Full Name: _________________________

Phone Number: _____________ Date of Birth: ___________

Personal Email:  _____________ Gender: ________ Work Email: _______________

Address:

Street: _________ City: ___________ State: _________ ZIP Code: _______

 

Church Information

Name of Church ____________________Address: _________________________________

Email: ___________________________ Name of Pastor: ____________________________

Phone Number: __________________

How long has the church/ministry been in existence?

 

Church Website: ___________________

 

Size of Membership

Less than 100

100-300

300-500

500-800

800-1000

1000-1500

More than 1500

Marital Status: (Please indicate with an X)

Single ____

Married ___

Divorced ____

Separated____

Widowed ____

 

Other than preaching, please describe other gifts.

________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

What attracted you to this fellowship?______________________________________________________________

_______________________________________________________________________________________________________________________________________________________________________________________

Membership Commitment: By signing below, I affirm that I understand and agree to uphold the beliefs, values, and mission of Global United Fellowship.

Signature: ________________________ Date: __________________

Important:

Please attach a copy of your payment receipt to Global United Fellowship.

https://globalunitedfellowship.org/make-membership-payment/

GUF -NE Membership Application

Please Scan to join!

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